肝病分类诊断与诊疗路径系统的构建及应用价值分析  

Construction and Application Value Analysis of Liver Disease Diagnostic Classification and Diagnosis and Treatment Pathway System

作　　者：单晶[1] 霍宏蕾[1] 孟开[2] 宋健[1] 韩莹[1] 侯维[1] 刘焱[1] 范丽娟[1] 于飞[1] 张强[1] 李宁[1] 

机构地区：[1]首都医科大学附属北京佑安医院,北京100069 [2]首都医科大学卫生管理与教育学院,北京100069

出　　处：《中国医院管理》2015年第5期24-26,共3页Chinese Hospital Management

基　　金：国家卫生和计划生育委员会2014重点建设专科项目资助课题(WJWYA-2014-009);北京市科技计划课题(D131100005313004);北京佑安医院科研基金(BJYAH-2011-008)

摘　　要：肝病分类诊断系统是根据肝脏疾病的病因学、临床症候学、检验学、影像学、病理学和解剖学等特性,通过对肝脏疾病的分类、起病状态、病原学检测、肝功能情况、营养状态、感染情况、肝纤维化及肝硬化程度、肝脏并发症情况、多脏器功能情况、肝癌发生及进展情况和伴随疾病等不同层次、全方位的评价,准确反映肝脏疾病状态及各器官功能情况。肝病分类诊断系统中的每一诊断均对应一个以国内外最新诊疗标准、指南、共识等为依据,以循证医学为基础的诊断、治疗、康复及随访方案,最终根据不同诊断,组合生成全面的个体化综合治疗路径,使诊断、治疗、检查、随访以及生活指导更加标准、科学、规范。er Disease Diagnostic Classification System is based on the etiology,clinical symptomatology,laboratory science,imaging,pathology,anatomy and other characteristics of liver disease. The system can make a comprehensive, multi-level and precise evaluation, including classification from liver disease, onset status, pathogen detection,liver function,nutritional status,infection,type of liver fibrosis and cirrhosis,liver complications,multiple organ function, primary liver cancer development and concomitant diseases. The system can accurately reflect the circumstances of each organ function and disease status of patients with liver disease. Each diagnosis in the system corresponds an evidence-based diagnosis, treatment, rehabilitation and follow-up program. According to the specific diagnosis of the patients, the system automatically generates a combination of comprehensive and individualized treatment path to make the liver disease diagnosis,treatment,inspection,follow-up and life guidance more scientific and standardized.

关 键 词：肝病 分类诊断 诊疗路径 临床路径 

分 类 号：R575[医药卫生—消化系统]